HomeMy WebLinkAbout109 Gleason Cv (2)Py D 3uYWe1 CITY
OF SANFORD JAN
2•6 BUILDING & FIRE PREVENTION PERMIT
APPLICATION Application
No: 3LI 3 Documented
Construction Value: $ - To n 0 Job
Address: 1 0 q Parcel
ID: Type
of Work: New Addition E Deniption
of Work: Vi A Historic
District: Yes No Residential
Commercial Alteration
Repair Demo Change of Use Move U
F+_ i
Plan
Review Contact Person: Title: Phone:
Fax: Email: Cq la cQk0yeV,ol &G6 l m Property Owner Information
Name 2 D1DI
Phone: 4-07- Street: t`Q
q C- 4S0/\l (2, V
Resident
of property? City, State Zip:
i= d12 ; i 3 2!7'1-3 Name Street: City,
State
Zip: _
Name: Street: City,
St,
Zip:
Bonding Company: Address:
Contractor Information
Phone:
Fax: State
License
No.:
Architect/Engineer Information
Phone: Fax: E-
mail:
Mortgage
Lender: Address:
WARNING TO
OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A'•'NOTTCE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application i'
s'
hereby'made to'obtain4a per'mit"to do;the work•and installations as indicated. I certify°that no work or installation has commenced prior, to
the issuance of a permit and that all work will be performed to meet. standards of all laws regulating construction in this jurisdiction:
I understand that a' separate'permit must be secured for electrical work,',Wumbing; signs, wells, 'pools, furnaces, boilers, heaters,
tanks, and air conditioners, etc. FBC 105.3
Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30,
2015 Permit Application
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NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this Broperty that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature o caner/ t Date Signature of Cont actor/Agent Date
Pr nt Owner/Agent'siName Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
bQ 1kr 3 %3
APPROVALS: ZONING: !C-9 sl%U116 UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
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the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
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in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
i lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
tr I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
r/ comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I alsoCunderstandthattheconstructionmustcomplywithallapplicablelaws, ordinances, building codes, and
zoninjz regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
r Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
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listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address:
I, , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature
Form of Identification
Must be Photo ID)
Date
0) - 2(- ?-0) 5-
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
r
Rev. 9.14.2009
APPROVED F'LHim6
C. DEPTB
LEGAL DESCR)PTION: LOT 139, PLACID
WOODS PHASE TIM ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT
BOON' 5a PAGES 4-6, OF THE PUBLIC
RECORDS OF SEMINOL£ COUNTY, FLORIDA.
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109 GUEASON COVF
SANFdRD, FL
SHORE TO
SHORE TITLE,
LLC
Long Surveyin-; Inc.
51—h:igg TA R.a)J"•Ahol Su—pn "
MY,, 7371
143 Villa Di Este Terrace a 113
Lake Mary, FL 32746
Office 107-330-9717 ura07-330-9716
Fix 407-330-9775
Rgnr.longtlevoying.com t:
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DLL BRETT
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FREDDY A CABRERA
SHORE TO SHORE TITLE, LLC
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
STEARNS LENDING, LLC
COMMIJAI Ma
120294
PANEL' SR71N` r.LR.M. DATE:
0070 F 09/28/07
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SCPA Parcel View: 02-20-30-523-0000-1390 Pagel of 2
IDavid Johns-cn,CFA Property Record Card PROPERTY
Parcel: 02-20-30-523-0000-1390 APPRAISER
Owner: CABRERA FREDDY A SWINOIECOUNTY
FLORIDA Property Address:
109 GLEASON CV SANFORD, FL 32773 Parcel: 02-
20-30-523-0000-1390 I Property Address:
109 GLEASON CV Owner: CABRERA
FREDDY A Mailing: 109
GLEASON CV SANFORD, FL
32773- Subdivision Name:
PLACID WOODS PH 2 Tax District:
Si-SANFORD Exemptions: 00-
HOMESTEAD (2016) DOR Use
Code: 01-SINGLE FAMILY Value Summary
2016 Working
Values 2015
Certil
Values Valuation
Method
Cost/Market Cost/Mark( Number of
Buildings 1 1 Depreciated Bldg
Value 112,187 108,043 Depreciated EXFT
Value Land Value (
Market) 18,000 18,000 Land Value
Ag Just/Market
Value 130,187
126,043 Portability Adj
Save Our
Homes Adj 0 0 Amendment 1
Adj 14,714 Assessed Value
130,187 111,329 Tax Amount
without SOH: $2, 2015 Tax
Bill Amount $2, Tax Estimator
Save Our
Homes Savings: Does NOT
INCLUDE Non Ad Valorem Assessments Legal Description
LOT 139
PLACID WOODS
PH 2 PB 58
PGS 4-6 Taxes Taxing
Authority
Assessment Value Exempt Values Taxable Value County General
Fund 130,187 50,000 Schools 130,
187 25,000 1( City Sanford
130,187 50,000 SJWM(Saint
Johns Water Management) 130,187 50,000 County Bonds
130,187 50,000 Sales Description
Date
Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY
DEED 7/1/2015 08525 0079 148,000 No Improved CERTIFICATE OF
TITLE SPECIAL WARRANTY
DEED 3/1/
2015 9/1/
2001 08432 04178
0407
1193
69,
100
104,800
No Yes
Improved
Improved
Find
Comparable
Sales within this Subdivision http://www.
scpafl.org/ParcelDetaiUnfo.aspx?PID=02203052300001390 1/26/2016